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EASTSIDE PATHOLOGY INC PS NPI 1609830900


NPI Information

NPI: 1609830900
Provider Name: EASTSIDE PATHOLOGY INC PS
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

Address:
1035 116TH AVE NE
BELLEVUE, WA
ZIP 98004
Phone: (425) 688-5000
Get Directions

EASTSIDE PATHOLOGY INC PS is an anatomic pathology and clinical pathology pathology in Bellevue, WA. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. EASTSIDE PATHOLOGY INC PS NPI is 1609830900. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1035 116TH AVE NE
BELLEVUE, WA
ZIP 98004-604
Phone: (425) 688-5000
Fax: (425) 688-5959

The provider's authorized official is Brent David Benjamin .
The authorized official title is President and has the following contact phone number (425) 251-5168.

The enumeration date for this NPI number is 4/13/2006 and was last updated on 6/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZC0500XPathologyCytopathologyMD00032601WASHINGTONNo
2207ZD0900XPathologyDermatopathologyMD00032601WASHINGTONNo
3207ZP0102XPathologyAnatomic Pathology & Clinical PathologyMD00041011WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17045651MEDICAIDWASHINGTON
2CD9826MEDICARE PINWASHINGTON
3000165800MEDICARE PINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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